Periodontal Maintenance
Periodontal maintenance is a specialized ongoing cleaning and monitoring program designed for patients who have been treated for gum disease. It differs from a standard prophylaxis in both scope and frequency, reflecting the fact that periodontal disease is a chronic condition that requires long-term management to prevent recurrence and protect the progress achieved through treatment.
At Bensonhurst Dental Care, periodontal maintenance is provided by Dr. Geoffrey Rubinshtein, who brings the expertise of a board-certified periodontist to every maintenance visit. Each appointment includes a thorough measurement of periodontal pocket depths, evaluation of gum tissue health, targeted removal of bacterial deposits above and below the gumline, and assessment for any signs of renewed disease activity. Dr. Geoffrey uses this data to track the patient's periodontal stability over time and adjust the care plan as needed.
Maintenance visits are typically scheduled every three to four months, though the frequency may be adjusted based on each patient's response to treatment and individual risk factors. This cadence is not arbitrary. Research consistently shows that bacteria capable of restarting the disease process recolonize within weeks after cleaning, making regular professional intervention essential for patients with a periodontal history.
Periodontal maintenance is distinct from the routine dental cleanings provided as part of general preventive care. Patients who have undergone scaling and root planing or pocket reduction surgery are transitioned to a maintenance protocol to protect their results. Preventive laser bacterial reduction can be incorporated into maintenance visits for an additional layer of bacterial control below the gumline.
Frequently Asked Questions
How is periodontal maintenance different from a regular cleaning?
Periodontal maintenance is more thorough than a standard cleaning. It includes deeper subgingival scaling, detailed pocket depth measurements, and close monitoring for signs of disease recurrence. It is performed by or under the supervision of a periodontist and is specifically designed for patients with a history of gum disease.
How often do I need periodontal maintenance?
Most patients are seen every three to four months. The interval is determined by Dr. Geoffrey based on the patient's disease history, healing response, and ongoing risk factors. Some patients may eventually extend the interval if their condition remains stable over time.
Can I switch back to regular cleanings eventually?
In some cases, patients whose periodontal health has been stable for an extended period may transition to a less frequent schedule. However, gum disease is chronic by nature, and most patients benefit from continuing a maintenance protocol to prevent recurrence.
Is periodontal maintenance covered by insurance?
Many dental insurance plans cover periodontal maintenance, though the frequency and reimbursement level may differ from routine cleanings. The Bensonhurst Dental Care team can help verify coverage and explain any out-of-pocket costs before treatment.
